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3<br />

FIGURE 3.8:<br />

While being underweight is more common in lower income countries, being overweight is more prevalent in many<br />

upper middle <strong>and</strong> high income countries<br />

Percentage of overweight <strong>and</strong> underweight children under age 5, selected countries<br />

45<br />

Overweight <strong>and</strong> underweight children under age 5 (%)<br />

40<br />

35<br />

30<br />

25<br />

20<br />

15<br />

10<br />

5<br />

Overweight<br />

Underweight<br />

0<br />

Eritrea<br />

Sudan<br />

Bangladesh<br />

Pakistan<br />

Nepal<br />

Papua N. Guinea<br />

Sri Lanka<br />

Ethiopia<br />

Cambodia<br />

D. R. Congo<br />

Indonesia<br />

Philippines<br />

Nigeria<br />

Tajikistan<br />

Viet Nam<br />

Haiti<br />

Kenya<br />

Vanuatu<br />

Thail<strong>and</strong><br />

Iraq<br />

Egypt<br />

Azerbaijan<br />

Algeria<br />

Krygyzstan<br />

Mexico<br />

Rep. Moldova<br />

Tonga<br />

Turkey<br />

Serbia<br />

Mongolia<br />

Bosnia/Herzeg.<br />

Montenegro<br />

Chile<br />

United States<br />

Note: Data are for the most recent year available between 2010 <strong>and</strong> 2015.<br />

Source: UNICEF (2016).<br />

availability (Garn et al., 2013).<br />

But policy-makers need to show more leadership. In a<br />

2014 survey of 94 countries, just over one-fifth of water,<br />

sanitation <strong>and</strong> hygiene measures in national plans had<br />

been fully implemented, funded <strong>and</strong> regularly reviewed;<br />

just over one-third of countries included specific targets<br />

to reach universal access to water <strong>and</strong> sanitation in<br />

schools, <strong>and</strong> less than 30% of countries aspired to<br />

universal coverage for hygiene promotion in schools in<br />

the next decade (WHO <strong>and</strong> UN Water, 2014).<br />

Similarly, leadership is needed to promote schoolbased<br />

interventions <strong>and</strong> facilities for better menstrual<br />

hygiene management. A recent systematic review of<br />

three studies, conducted in urban schools in Egypt, India<br />

<strong>and</strong> Saudi Arabia, showed that providing multiple hour<br />

sessions led to stronger knowledge of menstrual hygiene<br />

<strong>and</strong> better practices (such as using, changing, washing<br />

<strong>and</strong> drying sanitary pads) (Sumpter <strong>and</strong> Torondel, 2013).<br />

In Uttar Pradesh, India, an intervention begun in 2011<br />

targeted men <strong>and</strong> boys to support menstrual hygiene<br />

through focus group discussions, games, media tools<br />

<strong>and</strong> regular meetings. Better management can be<br />

complemented by needed infrastructure. As the 2015<br />

GMR confirmed, access to better facilities for girls is<br />

likely to have positive effects on their dignity <strong>and</strong> the<br />

quality of their schooling experience (UNESCO, 2015).<br />

EDUCATION OPENS OPPORTUNITIES<br />

FOR WOMEN<br />

A wealth of studies <strong>and</strong> global <strong>and</strong> national reports have<br />

documented the variety of ways in which individuals<br />

<strong>and</strong> societies benefit from providing better education to<br />

women <strong>and</strong> girls (UNESCO, 2014), although content <strong>and</strong><br />

processes determine how they derive the benefits.<br />

The link between education <strong>and</strong> earning prospects<br />

is well documented. Education helps widen women’s<br />

employment opportunities beyond low skill work (see<br />

Chapter 2: Prosperity). The socio-economic benefits<br />

of educating women, both for individual <strong>and</strong> family<br />

outcomes <strong>and</strong> for national <strong>and</strong> global economic growth,<br />

have long been used to advocate for more investment in<br />

girls’ education (Mir<strong>and</strong>a, 2015; Murphy et al., 2009; Wils<br />

80<br />

CHAPTER 3 | PEOPLE: INCLUSIVE SOCIAL DEVELOPMENT

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